High-dose VP-16-213 monotherapy for refractory germinal malignancies: A phase II study

作者: S N Wolff , D H Johnson , J D Hainsworth , F A Greco

DOI: 10.1200/JCO.1984.2.4.271

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摘要: VP-16-213 at standard dose is one of the more active agents for treatment germ cell tumors. In previous phase I studies, has been investigated in suprastandard when hematopoietic reconstitution was assured by autologous bone marrow transplantation (ABMT). This II study performed to explore possibility that an augmented may be than against Eleven patients with progressive refractory tumors were treated high-dose VP-16-213: 2,400 mg/m2 ABMT every three four weeks followed 1,200 without ABMT. Seven had received prior VP-16-213. Toxicity included severe myelosuppression, nausea, vomiting, alopecia, mucositis, and hepatitis. Of 10 evaluable patients, two complete responses partial responses, all short duration, obtained. However, some unresponsive standard-dose exhibited re...

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